Active NPI
Daniel Katches
- Physical Therapist
- Elk Grove, CA
National Provider Identifier
1003581711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300549
- Practice address
- 10471 Grant Line Rd Ste 130
Elk Grove, CA 95624-5042 - Phone
- (916) 750-4555
- NPI assigned
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300549 | CA | Primary |
Addresses
Primary practice location
10471 Grant Line Rd Ste 130
Elk Grove, CA 95624-5042
Mailing address
3175 Data Dr Apt 1321
Rancho Cordova, CA 95670-6444
Phone (805) 835-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1003581711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 DATA DR APT 1321",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706444",
"telephone_number": "805-835-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10471 GRANT LINE RD STE 130",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245042",
"telephone_number": "916-750-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATCHES",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.